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Data updated: Jun 28, 2026

ADAKVEO (crizanlizumab-tmca) · Novartis

P-Selectin Blockers
Rare Disease Approved 2019-11-15

Adakveo (crizanlizumab-tmca) is a selectin blocker indicated to reduce the frequency of vaso-occlusive crises in patients with sickle cell disease. The therapy is approved for use in adults and pediatric patients aged 16 years and older. It serves a therapeutic role by targeting the underlying cellular adhesion processes that contribute to these complications.

Source: FDA Label • Selectin Blocker

How ADAKVEO Works

Crizanlizumab-tmca is a humanized monoclonal antibody that binds to P-selectin and blocks its interaction with ligands such as P-selectin glycoprotein ligand 1. By binding to P-selectin on the surface of activated platelets and endothelial cells, the drug prevents these cells from interacting with red blood cells and leukocytes. It can also dissociate preformed complexes between P-selectin and its ligands. This inhibition of cellular adhesion helps manage the biological interactions that lead to vaso-occlusive crises.

2
Indications
--
Phase 3 Trials
1
Priority Reviews
6
Years on Market

Details

Status
Prescription
First Approved
2019-11-15
Patent Cliff
2026

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Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: CRIZANLIZUMAB-TMCA

ADAKVEO Approval History

2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2019 to 2024 · 1 indication expansions
Jun 2024 SUPPL
Efficacy
Sep 2022 SUPPL
Label · Labeling
Jul 2021 SUPPL
Label · Labeling

What ADAKVEO Treats

1 indications

ADAKVEO is approved for 1 conditions since its original approval in 2019. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Sickle Cell Disease
Source: FDA Label

ADAKVEO Competitive Set

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Indication competitors

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ADAKVEO FDA Label Details

Indications & Usage

FDA Label (PDF)

ADAKVEO ® is indicated to reduce the frequency of vaso-occlusive crises (VOCs) in adults and pediatric patients aged 16 years and older with sickle cell disease. ADAKVEO is a selectin blocker indicated to reduce the frequency of vasoocclusive crises in adults and pediatric patients aged 16 years and older with sickle cell disease.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.